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39D0992163 CLIA NUMBER - BETHLEHEM ENDOSCOPY CENTER LLC

Laboratory Demographics

CLIA Number: 39D0992163

Facility Name: BETHLEHEM ENDOSCOPY CENTER LLC

Facility Address:
5328 NORTHGATE DRIVE
BETHLEHEM, PA
ZIP 18017
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Facility Phone Number: 610 866-5008

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326133166

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 39D0992163
LAB Type Physician Office
Facility Name BETHLEHEM ENDOSCOPY CENTER LLC
Street 5328 NORTHGATE DRIVE
City BETHLEHEM
State PA
ZIP 18017
Phone 610 866-5008
CertificateType 4
CertificateEffectiveDate 10/10/2023
CertificateExpirationDate 10/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024